ITEMS IN AFP WITH MESH TERM:
Hormone Therapy: Continuing Discussion and Debate - Editorials
An Unusual Case of Chest Pain - Photo Quiz
Screening for Coronary Heart Disease: Recommendation Statement - U.S. Preventive Services Task Force
Does a Low Glycemix Index Diet Reduce CHD? - Cochrane for Clinicians
Is There Benefit to Coronary Calcium Screening? - Editorials
Promoting Physical Activity in Older Adults - Editorials
ABSTRACT: Coronary heart disease is the most common cause of death in the United States. The conventional risk factor approach to primary prevention excludes many patients who could benefit from preventive therapies. A global risk approach allows more accurate estimates of risk to guide clinical primary prevention efforts. Global risk of coronary heart disease is a calculation of the absolute risk of having a coronary heart disease event (e.g., death, myocardial infarction) over a specified period. It is based on an empiric equation that combines major risk factors, such as blood pressure and cholesterol levels. When physicians know a patient’s global risk of coronary heart disease, they are more likely to prescribe risk-reducing therapies such as antihypertensives, statins, and aspirin. In addition, patients who know their risk level are more likely to initiate risk-reducing therapies. Many tools are available to estimate global risk, including several Web-based calculators. In the United States, tools based on the Framingham Heart Study are recommended.